Provider Demographics
NPI:1043494693
Name:HUSBAND, MILTON TERRELL
Entity Type:Individual
Prefix:MR
First Name:MILTON
Middle Name:TERRELL
Last Name:HUSBAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 LINCOLN RD E
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-6509
Mailing Address - Country:US
Mailing Address - Phone:707-553-5621
Mailing Address - Fax:707-553-5719
Practice Address - Street 1:680 LINCOLN RD E
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6509
Practice Address - Country:US
Practice Address - Phone:707-553-5621
Practice Address - Fax:707-553-5719
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor